Provider Demographics
NPI:1689384364
Name:BOOKHAMMER, SHEENA RENEE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:RENEE
Last Name:BOOKHAMMER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 E JULIAN ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16662-1228
Mailing Address - Country:US
Mailing Address - Phone:814-330-7276
Mailing Address - Fax:
Practice Address - Street 1:2900 PLANK RD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-9361
Practice Address - Country:US
Practice Address - Phone:814-944-4722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN586375163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health